| North Shore Mindful Llc | |
|
5 Broadway Ste 300 Saugus MA 01906-1057 | |
| (617) 212-0304 | |
| (978) 238-8543 |
| Full Name | North Shore Mindful Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Broadway Ste 300, Saugus, Massachusetts |
| Authorized Official Name and Position | Susan D D'antilio (OWNER) |
| Authorized Official Contact | 6172120304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Mindful Llc 65 Dodge St Unit C Beverly MA 01915-1700 Ph: (617) 212-0304 | North Shore Mindful Llc 5 Broadway Ste 300 Saugus MA 01906-1057 Ph: (617) 212-0304 |
| NPI Number | 1659163913 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659163913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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